Individual provider Active NPI

Trenton Stuart Cleghern, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1083090815
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D44-TA-A19 Issued in AL
Practice address
1716 University Blvd G080A
Birmingham, AL 35294-0010
Phone
(205) 934-4748
NPI assigned
Aug 4, 2015
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D44-TA-A19 AL Primary

Addresses

Primary practice location

1716 University Blvd G080A
Birmingham, AL 35294-0010

Mailing address

1716 University Blvd G080A
Birmingham, AL 35294-0010
Phone (205) 934-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016001981 AL Practitioner - Optometry 8729397500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Partners of Alabama IncGroup PAC ID 4385530740, 13 clinicians

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 731-9050

250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone (205) 943-4600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D44-TA-A19ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 1, 2016 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Eye Health Partners of Alabama Inc Optometrist CurrentSince Aug 7, 2015 Accepting new patients
Brian C. Mulrooney, MD, PC Past Accepting new patients

Locations

312 Sand Mountain Dr E
Albertville, AL 35950
Phone (256) 878-1053

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

1000 2nd Ave SW
Cullman, AL 35055
Phone (256) 734-9613

1213 13th Ave SE
Ste B
Decatur, AL 35601

250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650

1150 Eagletree Ln SW
Huntsville, AL 35801

304 Parks Ave
Scottsboro, AL 35768
Phone (256) 259-4218

971 Fairfax Park
Ste D
Tuscaloosa, AL 35406
Phone (205) 561-6200

Interoperability endpoints

  • Direct secure messaging: trenton.cleghern@eyehealthpartners.direct.eyemdemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1083090815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-934-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-934-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGHERN",
        "first_name": "TRENTON",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D44-TA-A19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.